HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/5/2021
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Planning and Development Services
Building and Code Regulation Division
2.300 Virginia Avenue, Fort Pierce FL 349R2
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: FENCE
Permit Number:
Building Permit Application
Commercial
idential x
I PROPOSED IMPROVEMENT LOCATION: I
Address: 5722 PAPAYA DR FORT PIERCE, FL 34982
Property Tax ID #: 3402-610-0279-000-2
Site Plan Name:
Project Name: Dare Fence
Lot No. 14
Block No. 79
[DETAILED DESCRIPTION OF WORK:
INSTALL A TOTAL OF 120' OF NEW WHITE PVC TONGUE AND GROOVE PRIVACY FENCE. INSTALL 102' OF 6' AND
INSTALL 18' OF 4'. NO GATES. NO POOL.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters ^ Windows/Doors
_ Electric _ Plumbing Sprinklers _ Generator Roof _ — Pitch
Total Sq. Ft of Construction: 120'
Cost of Construction: $ 4060.00
Sq. Ft. of First Floor: 12 '
Utilities: __ Sewer _ Septic Building Height: 6' 8, 4'
OWNER/LESSEE:
CONTRACTOR:
Name Christine A Dare
Address: 984 SE Saint Lucie BLVD Stuart, FL 34996
Name: Ross A. Chambers
Company:Adron Fence
_
City: Stuart, FL State: _
Zip Code: 34996 Fax:_ _
Phone No. -
Address: 1132 NE 12th St.
City: Okeechobee
Zip Code: 34972
Phone No800-282-5172
State: FL
_ Fax: 863-763-8404 —
_
E-Mail: -
_
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Julie@adronfenco.com
State or County License 18971
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name: _
Address:
Address: _
_
City: _ _ State:
Zip: Phone
City: _State:
Zip: Phone:__
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
Address:
City:
City: _
_
Zip: _ Phone:
Zip: Phone:
0"uuEan CO'NTR%w/•TAR wrr ran IT
V WIYCK �.VIY 1 KHI.I VK HrF1U�/11 : AppllCailOn IS hereby made t0 Obtain a permit t0 d0 the WOr'IC and installation a5 indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures swimming pooh fences walls, signs screen rooms and accessory Uses to another ninn-residential use -
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEJIIT."
4
,
Signature of Owner Lessee Con ractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF OK ECHOBEE
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 5TH day of JULY 2021 by
this 5TH day of JULY 2021_ by
ROSS A. CHAMBERS
ROSS A. CHAMBERS
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification _
Personally Known x —OR Produced Identification _
Type of Identification
ype of Identification
Produced •, JULIE5NELL
roduced
Notary public - State of Florida
Commission p GG 7 Jyg//
Mar13,2022
ES
ea** `, JULIE SNELL
NoteMyCommExpires
ryPubi;, SInded
through National Notary
;;• �r Commission M "` '
( i natur of Notary Public- State of crl
(Sig ture of Notary Public- at2'`•'M ii Y omm, Ilprn,Mar 13,061Q
i ih
ough Nativnal Notary Atain
Commission No. GG195877 (Seal)
Commission No. GG195877 (Seal)
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Rev. 2/7/19